TY - JOUR
T1 - Interrater agreement and stability of the Functional Independence Measure for Children (WeeFIM(TM))
T2 - Use in children with developmental disabilities
AU - Ottenbacher, Kenneth J.
AU - Msall, Michael E.
AU - Lyon, Nancy R.
AU - Duffy, Linda C.
AU - Granger, Carl V.
AU - Braun, Susan
N1 - Funding Information:
From the University of Texas Medical Branch at Galveston (Dr. Ottenbacher); The Child Development Center, Brown University. Providence, RI (Dr. Msall); The Robert Warner Rehabilitation Center, Buffalo, NY (Ms. Lyon, Dr. Duffy); and the State University of New York at Buffalo (Dr. Granger, Ms. Braun). Submitted for publication January 24, 1997. Accepted in revised form April 29, 1997. Supported by grant MC-360646-010 from the United States Department of Health and Human Services, Bureau of Maternal and Child Health. No commercial party having a direct financial interest in the results of the research suuuorting this article has or will confer a benefit won the authors or upon anv or~aniza~on with which the authors are associated. . ’ Rep&t r&ests to Kenneth J. Ottenhacher, PhD, OTR, School of Allied Health Sciences; University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 775551028. 0 1997 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation 0003-9993/97/7812-4355$3.00/O
PY - 1997/12
Y1 - 1997/12
N2 - Objective: Examination of the interrater agreement and stability of ratings obtained using the Functional Independence Measure for Children (WeeFIM(TM)) in a sample of children with developmental disabilities. Design: A relational design was used in which two sets of WeeFIM scores were collected under four conditions: same rarer-short interval; same rater-long interval; different rater-short interval; and different rater-long interval. Setting: WeeFIM scores were collected in outpatient developmental rehabilitation centers, school programs, and the children's homes. Participants: Data were collected for 205 children ranging in age from 11 to 87 months. All children had a medical diagnosis of disability and were receiving habilitative-educational intervention or follow-along services including neurodevelopmental surveillance. Instrument: The WeeFIM instrument examines basic daily living and functional skills in children from birth to 7 years of age. The WeeFIM is modeled after the Functional Independence Measure (FIM) for adults and includes 18 items in the following subscales: self- care, sphincter control, transfers, locomotion, communication, and social cognition. Results: Kappa values for items ranged from .44 to .82. Intraclass correlation coefficients (ICC) for the six subscales ranged from .73 to .98. Total WeeFIM ICC values were greater than .95 for all analyses. Conclusions: The WeeFIM ratings for the 205 children with developmental disabilities participating in this investigation were consistent across raters and time.
AB - Objective: Examination of the interrater agreement and stability of ratings obtained using the Functional Independence Measure for Children (WeeFIM(TM)) in a sample of children with developmental disabilities. Design: A relational design was used in which two sets of WeeFIM scores were collected under four conditions: same rarer-short interval; same rater-long interval; different rater-short interval; and different rater-long interval. Setting: WeeFIM scores were collected in outpatient developmental rehabilitation centers, school programs, and the children's homes. Participants: Data were collected for 205 children ranging in age from 11 to 87 months. All children had a medical diagnosis of disability and were receiving habilitative-educational intervention or follow-along services including neurodevelopmental surveillance. Instrument: The WeeFIM instrument examines basic daily living and functional skills in children from birth to 7 years of age. The WeeFIM is modeled after the Functional Independence Measure (FIM) for adults and includes 18 items in the following subscales: self- care, sphincter control, transfers, locomotion, communication, and social cognition. Results: Kappa values for items ranged from .44 to .82. Intraclass correlation coefficients (ICC) for the six subscales ranged from .73 to .98. Total WeeFIM ICC values were greater than .95 for all analyses. Conclusions: The WeeFIM ratings for the 205 children with developmental disabilities participating in this investigation were consistent across raters and time.
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U2 - 10.1016/S0003-9993(97)90302-6
DO - 10.1016/S0003-9993(97)90302-6
M3 - Article
C2 - 9421983
AN - SCOPUS:0031454815
SN - 0003-9993
VL - 78
SP - 1309
EP - 1315
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 12
ER -